HomeMy WebLinkAbout05-4967
I I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4967
Permit Number: 4967
Permit Type: ADDITION/AL TE
Class of Work: 434-ADD/AL T RESI ENTIAL
Proposed Use: MOBILE HOME SU DIVISION
Square Feet:
Est. Value:
Improv. Cost: 22,763.00
Date Issued: 9/29/2005
Total Fees: 252.50
Amount Paid: 252.50
Date Paid: 9/29/2005
Work Desc: CARPORT AND SH
Address: 37648 COREY L IS AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
GRAN HO IZON
37648 COREY LEWIS AVE
ZEPHYRHILLS, FL. 33542
Phone:
/;~
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DUCTS INSTALLED PRE-SLAB
DUCTS INSULATED LINTEL
SHEATHING FRAME
MISC INSULATION
MISC. INSULATION
MISC. DRIVEWAY
REINSPECTlON FEES: When extra in
charge of Thirty-Five Dollars ($35.00
L MB
CONSTRUCTION POLE 2ND ROUGH PLUMB
PRE-METER WATER
MISC SEWER
MISC MISC.
MISC, MISC.
MISC. MISC.
ion trips are necessary due to anyone of the following reasons, a
shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for i spection when called
(e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible
The payment of inspection fees shall be m de before any further permits will be issued to the person owning same
"Warning to owner: Your failure to ord a notice of commencement may result in your paying twice for
improvements to your property. Ify intend to obtain financing, consult with your lender or an attorney
before recording your notice of comm hcement."
Complete Plan 1 Specifications and Fee Must Accompany Application.
All work shall be rformed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
~-.
PERMIT OFF I
SPECTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
CITY O~I: ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~ Street, Zephyrhill., r.L 33542 ~
813-78P-0020 FAX:813-780-0021
DATE RECEIVZD 9( Z ~
PLANS REVIEW Il'EE
OWNER'S NAME~~\,,\'C\ t\'~:~i\~~ \'<\\\9 PHONE~~~-=J~-\()~,-\
JOB ADDRESS~ \\ ~'-\~ q~ L ~\~~\L. '~~ ~
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION.\<:i~\-\tj'\l:::)(\
PARCEL 10 # ~~~~\~(i:rJ\CJ.~-(,)~ (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: UH:rEW CONSTRUCTION ~ITION OALTERATION 0 REPAIR ~TALL
o SIGN
PROPOSED USE: ~AMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
~'
'-\\3~~ r-<'
DESCRIPTION D~'lc:J RESTAURANT & HEALTH
SQUARE FOOTAGE~~~
BUILDING SIZE
HEIGHT
RESIDENTIAL: ATTACH (2) PLO~ PLANS &. (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ,ATTACH (3) SET~ OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVE~ REQUIRED FOR ALL NEW CONSTRUCTION.
o PLUMBING
PERMITS REQUESTED
~-\~~ .~\.C) VALUATION 'OF TOTAL CONSTRUCTION
, !
AMP SERVICE 0 FLORIDA POWER 0 W. R. E. C. '
~,,(~ ~\.
~DING
~ECTRICAL
o M8CHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALb
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
c.::=
SIGNATURE
'I'-:;".J~~;: I,:.:~-.i;-;'). . >t :" :i,:, -.. l;~
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COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
*********~*~~* **************************************************
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ELECTRICIAN ' &iOMPANY~ ~ - \i)\.J':t
( \
~ STATE CERT OR REGIST #
SIGNATU~(J ~-' ~,~j;:>- , - CITY PROCESSING I \1:,1
***************~**************************************************
'-,
PLUMBER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING It
SIGNATURE
***************1**************************************************
. COMPANY
STATE CERT OR REGIST It
CITY PROCESSING It
MECHANICAL
*************** ********************-*****************************
OTHER COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
*************** *************************************************
I
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'-'V,L~J.J..L.~.J-VJ.~"') vI.:. C.w.~\J.',\vt.). J-\r:r:_1..:.JAV}.'.'.
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intende~ work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, h~ is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks ,
*U.S. Environmental Protection Agency-ASbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter ~equiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered ~bandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
A~ /] RPP<
SIGNATURE: WNER OR AGENT
a~ 17 O~~
SIGN TURE: 0 TRACTOR
STATE OF FLO~ ~ ~
COUNTY OF ~
The f, oregoing instrument ~OWledged
Bef~th~~ay o~ , 2~
by ~ '
~ame of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA~~,,)
COUNTY OF
The foregoing in trument ~~wledZbed~
Befor me his a of , (~_J
by
_ ~arne person acknowledged)
~ is personally known to me, or
Dwho has produced
(type
and whoD did ~ ot
of identification)
ake an oath.
Signature of person taking' acknowledgement
Signature of person taking
Name ty
L ,
Name typ
or starn ed
Notary Public State of Florida
Sabrina Rae Cant
~ Commission 0D463268
Expwes 08I1l112OO9
1b
,... 0# rol
Notary Public State of Florida
Sabrina Rae Cant
My Commission D0463268
ExpIl'8S 0811812009
I Ii
This space for use by Clerk of the Circuit Court only,
1111111111111111I11111111I111111 1111111111 11111 1111111111111
2005204212
,"
.'.
Rcpt: 927846
os: 0.00
09/29/05
Rec: 10.00
IT: 0.00
..'__ ..._..__m_ Dpty Clerk
JEO PITT"AN~ PASCO COUNTY CLERK
09/29/05 0,) : 26pm 1 1of2013
OR BK 6611 PG
~OTICE OF COMMENCEMEN!
Slate of Florida
The undersigned hereby gives notice that!lmprovements will be made to certain real property, and in accordance Wllh
Section 713.13 of the Florida Statutes, th1 following Inrorm~tlon Is provlde~ In the NOTICE OF ~O~M~NCEMENT.
,. Legal Description ot property (.treet ~d~e. equlred): \ '-\ ' :\) "\ "-~ -V ~~~\.s:)
-r ~ C:V' \ r- - C)~ -u LD
2, General descripllon ot Improvements:
\~
"
I
3. ~:~:; ~~;,~~sTh~~ ~0''' 1'C,'\\c:, ~\. ::, .:>,~ L\ \
; \
3b. Owner's interest In site:
R3C
4,
Fee Simple Tille holder (ot other than o.,fner)
::::~::IO'N'~~ ~~~ . . ,
AddresM!=:J~ If ,~'f'Ct' . , ' 'Phone:b\~-~ ~ ~ \(~\..Q'--\
Surety Name: I Amount ot bond:
Address: . Phone:
5.
6, Lender Name:
Address:
! '
i
Contact:
Phone:
7. Person within the State of Florida deslg~ated by owner upon whom notices or other documents may be served as provided by
Section 7.13.13(1 )(8)7, Florida Statutes~
Name:
Address:
Phone Number:
6. In addition to himself, Owner designate the fallowing person to receive I copy of the Lienor', Nollce as provided In Seclion
7.13.13(1)(b), Florida StaM",
Name:
Address:
Phone ,Number:
9. Expiration date ot Notice ot Commence ent (expiration date I. on. (1) y,ar fro,m date of recording unless a different date Is
specified). I
STATE OF FLORIDA
. L-
~\~G \-.~~~~tro of Own or
I
It e me thl~ date Of~~ ' . 2d-~by
who (Is) (are) personally known 10 me or
a.ldentlflcaUon, who did/did not take an oath.
.i;:J "
~,
'.,P~a\. Notary Public Stale of Florida
. . Sabrina Rae Cant '
~ ~ ~ My Commission 00463268
01 ",. Expwes 0811812009
-.
<.: ----~...,_.".~-
Signalure . Notary Public
(A copy 01 any bond must be attached at the time ot recordation of this Notice of Commencement)
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b:PRvRmLLs. FL 33543
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